2018 Volume 60 Issue 7 Pages 1317-1322
A 99-year-old woman was admitted to our hospital with complaints of purpura at her lower extremities and upper abdominal pain. She was also suffering from diabetes, hypertension and nephropathy. Abdominal computed tomography showed prominent duodenal wall thickness. Endoscopic examination revealed hemorrhagic blebs in the esophagus, multiple spots of redness in the stomach, and reddish erosions at the duodenum. Leukocytoclastic vasculitis was observed in skin biopsy specimens. Therefore, she was diagnosed as having IgA vasculitis with gastrointestinal lesions. IgA vasculitis is more common in children than in adults, with decreasing frequency with increasing age. However, the case we experienced showed that the disease can also occur in extremely elderly patients.
